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Hyperthyroidism

This is how Avi Medical can help you with an overactive thyroid

Hyperthyroidism, which is much rarer compared to underactive thyroid, typically affects women over 35 and is generally one of the organs that can be easily treated. diseases. But: The anomaly requires special behavior that those affected should be aware of. Fortunately, we at Avi Medical are here to help you with all medical measures in the fight against hyperthyroidism at all of our locations.

What is hyperthyroidism ?

The clinical picture of hyperthyroidism refers to an anomaly of the thyroid gland in which the organ located below the larynx has too many of its own Hormones produced(particularly T3, T4 and calcitonin). 

This trio of hormones performs a variety of tasks in healthy people. For example, it increases heart rate and cardiac output, reduces the calcium level and also increases oxygen consumption and Body temperaturewhich accelerates metabolism.

When does it become hyperthyroidism?

So-called manifest hyperthyroidism is diagnosed based on an imbalance of three hormones. Specifically: a low TSH value and increased amounts of the thyroid hormones T3 and T4. 

The TSH produced in the brain is considered a so-called "stimulation hormone" that reaches the thyroid gland via the bloodstream and this encourages the release of T3 and T4. 

However, if the organ produces too many of these two hormones, the body reduces the release of TSH in order to reduce T3 and T4. 

This balancing process in the body occasionally actually leads to normalization of T3 and T4 - but does not change the low TSH value. In this case, manifest hyperthyroidism becomes latent hyperthyroidism.

What are the triggers of hyperthyroidism?

< p id="">Hyperthyroidism is often thesymptom of another underlying disease. Thetypical triggersinclude:

  • Graves' disease (a mostly genetically determined autoimmune disease in which the body's own antibodies react to the receptors of the... bind to the thyroid gland, to which TSH normally binds. In this way, thyroid hormone production is additionally stimulated)
  • a benign tumor of the thyroid gland (through this, cells of the thyroid gland produce hormones independently, independent of TSH stimulation)
  • a malignant tumor
  • Passager: Inflammations, such as de Quervain's thyroiditis or Hashimoto's thyroiditis (in these clinical pictures, thyroid tissue is destroyed, which temporarily releases thyroid hormones )

Rarely, hyperthyroidism is also caused with medication. For example, by:

  • too high a dose of L-thyroxine (hormone replacement for hypothyroidism)
  • Iodine (e.g. in iodine-containing contrast medium for CT or X-rays)
  • Amiodarone (iodine-containing drug for atrial fibrillation)

What are possible symptoms of hyperthyroidism?

Thyroid hormones act in different organs, which is why the symptoms of hyperthyroidism are diverse. The most important include:

  • a goiter in the thyroid (triggered by excessive blood flow to the organ due to increased hormone production)
  • Tachycardic (high-frequency) cardiac arrhythmias 
  • a feeling of "tightness in the chest"
  • high blood pressure 
  • Sweating 
  • increased reflexes 
  • trembling 
  • hair loss 
    < li id="">Sleep disorders as well as restlessness and fatigue 
  • Weight loss (due to increased basal metabolic rate and heat production)
  • Muscle and bone pain 
  • if Graves' disease is present, also: “Mersenburg triad” consisting of goiter, accelerated heartbeat and protruding eyeballs

Treatment of hyperthyroidism at Avi Medical

For our experienced doctors, the first step in treating your hyperthyroidism is determination the TSH, T3 and T4 values.

If these correspond to hyperthyroidism, the exact cause is determined in the second step (approx the presence of a disease such as Graves' disease) and a thyroid ultrasound carried out to confirm. 

This is followed by medication Hyperfunction therapy. Possible preparations are: 

  • Thyreostatics (reduce hormone production)
  • Beta blockers (reduce blood pressure, heart rate, tremors and the production of T3)

If the hyperthyroidism persists, referral to a radiologist or endocrinologist follows, who offer two treatment options. These are: 

  • carrying out radioiodine therapy (this destroys the overactive thyroid tissue)
  • removing the thyroid 

For us at Avi Medical, a holistic treatment for your hyperthyroidism also includes a regular checks and education. 

This will help you avoid further complications such as the formation of a thyrotoxic crisis, which occurs when hyperthyroidism is untreated or inadequately treated. This complements the symptoms of hyperthyroidism with disorientation, fever, somnolence and even coma and renal insufficiency.